A patient with gastric fundal varices and colonic varices due to splenic vein thrombosis.
We report a patient presenting with melena. Endoscopic examination showed gastric fundal varices as well as colonic varices. The latter is rarely encountered and is usually associated with portal hypertension. On angiography there appeared to be a splenic vein thrombosis which is only reported once earlier as a cause of colonic varices. A short review of the literature concerning colonic varices is added.
Van Wijngaarden
P
P
Department of Internal Medicine, Ijsselland Hospital, Capelle a/d Ijssel, The Netherlands.
Van der Wiel
H E
HE
Tetteroo
G W
GW
Bode
W A
WA
D003106:Colon / Q000098:blood supply*; D004932:Esophageal and Gastric Varices / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013162:Splenic Vein; D013927:Thrombosis / Q000150:complications* / Q000601:surgery; D014648:Varicose Veins / Q000209:etiology*